Senior Provider Network Contract Specialist - USFHP

Providence; Renton (WA); Hybrid; USD 54,346 - 84,364; Full time

Benefits offered by this job

401(k) savings plan with employer matching

Health care benefits

Paid parental leave

Job summary

Providence is looking for a Senior Provider Network Contract Specialist based in Renton, Washington. This full-time role involves developing and maintaining the Network Plan while ensuring compliance with URAC standards. The ideal candidate has strong experience in managed care operations and contract negotiations.

The responsibilities include leading negotiations with network providers and ensuring that all elements of the TRICARE Management Activity contract are met. A comprehensive benefits package is offered, reflecting the competitive nature of this position.

Qualifications

• 5 years of Managed care operations experience.
• Extensive understanding of capitated medicine and health plan contracts.

Responsibilities

• Develop and maintain Network Plan and provider handbook.
• Lead contract negotiations with network providers.
• Ensure compliance with the DoD contract and URAC standards.

Skills

Managed care operations

Capitated medicine

Contract negotiation

Stakeholder collaboration

Education

Bachelor’s Degree in related field

Job description

Senior Provider Network Contract Specialist - USFHP

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Job Info

• Job Identification 442162
• Job Category Provider Network
• Posting Date 06/25/2026, 10:51 PM
• Locations Blackriver Corporate Park-Renton(HR) (Hybrid)
• Job Schedule Full time
• Job Shift Day
• FTE 1
• Minimum Salary 39.45
• Maximum Salary 61.24

Job Description

Responsible for the development and maintenance of the Network Plan and provider handbook, for evaluation of the adequacy of the network, for assuring that the network meets URAC and DoD standards, and that there is compliance with all elements of the TRICARE Management Activity contract. Understands the attitudes and values of the community and establishes effective working relationships with stakeholders to increase resources and collaboration. Acts as a representative and spokesperson for US Family Health Plan both internally and externally. Responsible for assuring providers and network members are educated in Health Plan criteria and processes. Responsible for the non-clinical utilization management functions of the Health Plan. Responsible for compliance with the DoD contract regarding network and utilization issues. Responsible for a key role in provider contracting and network relations.

Leads contract negotiations for acceptable reimbursement terms and contract language with all network providers across the continuum of care (i.e. hospitals, physician groups and ancillary services). Will conduct negotiations and complete the contracting process in a timely manner in accordance with USFHP contracting principles, organizational policies and procedures and all elements of the TRICARE Management Activity contract.

Required qualifications:

• 5 years of Managed care operations.
• Extensive experience and understanding of capitated medicine, contracted networks and health plan contracts.

Preferred qualifications:

• Bachelor’s Degree in related field
• Ambulatory medicine.
• Project management.

Benefits:

Providence offers a comprehensive benefits package including a retirement 401(k) savings plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more.

Posted are the minimum and the maximum wage rates on the wage range for this position. The successful candidate's placement on the wage range for this position will be determined based upon relevant job experience and other applicable factors. These amounts are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

We are an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.